Individual
MR. ANDREW JUSTICE LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4001 W 15TH ST, #200, PLANO, TX 75093-5841
(972) 608-2025
Mailing address
6910 SKILLMAN ST, #1033, DALLAS, TX 75231-5857
(512) 997-8607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09441
TX
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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